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Home ›Dental Crowns Procedure
Custom porcelain crowns

When a filling
isn’t enough.

A crown covers the whole tooth rather than patching part of it — restoring the strength to bite normally again, and protecting what is left underneath from splitting.

When you need one

A crown, not a filling.

A filling replaces the part of a tooth that has been lost. Once too much structure is gone, there is not enough sound tooth left to hold a filling securely — and a large filling in a weakened tooth becomes a wedge that eventually splits it.

A crown solves that differently. It covers the entire tooth, holding it together rather than pushing it apart.

Delaying a crown when it is clinically indicated tends to cost more, not less. A tooth that fractures while you are waiting may need root canal treatment, or may not be savable at all.

Commonly needed after

Typical reasons

  • Root canal treatment — the tooth is brittle without one
  • A large cavity with too little tooth left to fill
  • A cracked or fractured tooth
  • A large old filling that is failing
  • Grinding that has worn enamel down
  • Completing a dental implant, fitted to the post
At a glance

Where the crown sits.

The process

Two appointments, no putty.

Crowns here are completed in two visits, with a digital scan rather than an impression tray full of material.

Visit one

Preparation and scanning

A uniform layer of enamel is removed from all surfaces to create space for the crown material, and any remaining decay is cleared at this stage. The amount of reduction is judged so the crown seats correctly and your natural bite alignment is maintained.

A precise 3D scan is taken of the prepared tooth and the teeth around it — no uncomfortable putty moulds. A temporary crown protects the tooth while the permanent one is made at the dental laboratory.

Visit two

Fitting the permanent crown

When your custom crown returns from the laboratory, the temporary is removed and the permanent crown is tried in for fit and shade before anything is fixed in place.

Only once it sits correctly and matches the teeth around it is it permanently placed. You leave able to bite normally on that tooth again.

Some cases can be completed without the laboratory stage. More on single visit crowns ›

Materials

Three choices, different jobs.

Which suits you depends mostly on where the tooth sits in your mouth and how much force goes through it.

All-ceramic

The most natural looking, and the usual choice for teeth that show when you smile. Porcelain and zirconia both fall here.

Ceramic-on-metal

A natural-looking outer surface with the durability only metal provides underneath. A common compromise for teeth doing heavy work.

All-metal

The most durable option, used where strength matters more than appearance — typically well back in the mouth.

We recommend all-ceramic where it is appropriate, because it looks most natural. We will tell you honestly if the position of the tooth means it is the wrong call.

Making it last

Fifteen years or more — if you look after it.

A porcelain or zirconia crown placed on a properly prepared tooth, with regular professional cleanings and good daily hygiene, typically lasts fifteen years or more.

It is worth knowing why crowns fail, because two of the three reasons are within your control.

  • Recurrent decay at the margin — from a poor original fit, or inadequate cleaning at the gum line
  • Fracture of the crown material — considerably more common in people who grind their teeth
  • Failure of the underlying tooth — the crown is sound but what it sits on is not
  • A night guard is worth discussing if you grind
  • Crowns still need flossing, particularly where they meet the gum
Crown questions

Answered honestly.

How long does a dental crown last?
A porcelain or zirconia crown placed on a properly prepared tooth and maintained with regular professional cleanings and good daily oral hygiene typically lasts fifteen years or more. The most common reasons for failure are recurrent decay at the margin, fracture of the crown material, and failure of the underlying tooth.
How many appointments does it take?
Two. The first prepares the tooth and captures digital impressions; the second permanently places your custom-fitted, shade-matched crown. A temporary crown protects the tooth in between.
Will it match my other teeth?
That is the intention. The crown is shade-matched, and it is tried in for fit and shade before it is permanently placed — so if it is not right, it does not go in.
Do I really need a crown after a root canal?
In almost all cases, yes. Removing the pulp leaves the tooth more brittle, and without a crown it is vulnerable to fracture. A tooth that fractures below the gum line usually cannot be saved, so skipping the crown risks losing the tooth you just paid to save.
Does having a crown fitted hurt?
The preparation is done under local anaesthetic, so you should not feel pain. Some sensitivity in the days afterwards is normal while the tooth settles.
What if my temporary crown comes off?
Call us. It is not an emergency in the medical sense, but the prepared tooth underneath is sensitive and unprotected, and leaving it exposed can allow the teeth either side to shift enough to affect the fit of the permanent crown.
Is a crown covered by insurance?
Most PPO dental plans contribute towards crowns when they are clinically necessary, though the proportion varies. We check your coverage and explain the cost before treatment begins. CareCredit and Cherry financing are available.

Been told you need a crown?

Call and we’ll look at the tooth, explain what it needs and what it will cost — before anything is booked.

860-430-4388
Both offices · Wethersfield Mon, Wed–Fri · Enfield Tue · 8am–4pm
Enfield direct line 860-763-5522
Request an appointment

Send us a message.

Tell us what you need and we will call you back to arrange a time. Every enquiry is read by the practice, not a call centre.

If you are in pain today, calling is faster than writing.

860-430-4388

Both offices · Wethersfield Mon, Wed-Fri · Enfield Tue · 8am–4pm
Enfield direct line 860-763-5522